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Individual

TARA JOHNS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4275 BURNHAM AVE STE 325A, LAS VEGAS, NV 89119-8212
(845) 769-8758
Mailing address
2828 LODGE POLE CT, NORTH LAS VEGAS, NV 89030-5212
(725) 219-5296

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
07067-C
NV
106S00000X
Behavior Technician
372500000X
Chore Provider
NV
372600000X
Adult Companion
NV
3747A0650X
Attendant Care Provider
NV
3747P1801X
Personal Care Attendant
NV
376J00000X
Homemaker
NV

Other

Enumeration date
03/07/2018
Last updated
08/04/2022
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